Organization · Type 2 NPI

Bellefaire JCB

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Shaker Heights, OH

NPI number 1093111981 Active

Practice location

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819

Call (216) 932-2800 Map

Fax (216) 932-6704

Specialties and licenses

TaxonomyCodeLicense
Supports Brokerage Agency 251X00000X12-2049 (OH)
Developmental Disabilities Clinic/Center 261QD1600X12-2049 (OH)
Adolescent and Children Mental Health Clinic/Center 261QM0855X12-2049 (OH)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X12-2049 (OH)
Mental Illness Community Based Residential Treatment Facility 320800000X12-2049 (OH)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X12-2049 (OH)
Psychiatric Residential Treatment Facility 323P00000X12-2049 (OH)
Child Mental Illness Respite Care 385HR2055X12-2049 (OH)
Child Physical Disabilities Respite Care 385HR2065X12-2049 (OH)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1093111981

Bellefaire JCB's National Provider Identifier is 1093111981, issued on Nov 5, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Shaker Heights, OH. The record was last updated on Nov 5, 2014.